Revascularization for arteries in the pelvis

Garot Philip, Jason H. Rogers

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Erectile dysfunction (ED) is a common medical problem affecting over 50% of men between the ages of 45-75 years. The current therapy for ED uses pharmacologic agents such as phosphodiesterase-5 inhibitors (PDE5i) that increase penile arterial blood flow and improve endothelial function. This chapter reviews the normal penile arterial blood supply, describes the angiographic anatomy in ED, and discusses the available literature on microsurgical and endovascular techniques to treat vasculogenic ED. The most frequent anatomic variation occurs when the internal pudendal artery (IPA) ends as the artery of the urethral bulb or less frequently the perineal artery. Patients at risk for atherosclerosis or with established coronary artery disease or peripheral vascular disease can be screened for the presence of vascular ED using a five-question subset of the International Index for Erectile Function (IIEF) questionnaire. Patients who have ED without psychogenic or organic cause should be referred for Doppler ultrasound examinations in collaboration with a urologist.

Original languageEnglish (US)
Title of host publicationInterventional Cardiology
Subtitle of host publicationPrinciples and Practice
Publisherwiley
Pages713-720
Number of pages8
ISBN (Electronic)9781118983652
ISBN (Print)9781118976036
DOIs
StatePublished - Nov 21 2016

Keywords

  • Arterial revascularization
  • Atherosclerosis
  • Coronary artery disease
  • Doppler ultrasound
  • Endovascular techniques
  • Erectile dysfunction
  • Internal pudendal artery
  • International index for erectile function
  • Penile arterial blood flow
  • Phosphodiesterase-5 inhibitors

ASJC Scopus subject areas

  • Medicine(all)

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